NPIMap

Organization Active NPI

Hamilton Community Health Network Inc.

  • Federally Qualified Health Center (FQHC)
  • Burton, MI
National Provider Identifier
1720152275
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HAMILTON COMMUNITY HEALTH NETWORK INC.
Practice address
G3375 S Saginaw St
Burton, MI 48529-1244
Phone
(810) 743-6830
Fax
(810) 743-7086
NPI assigned
Nov 17, 2006
Reactivated
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clarence Pierce, MS
Title
Ceo
Phone
(810) 406-4912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

G3375 S Saginaw St
Burton, MI 48529-1244

Mailing address

225 E 5TH St
Suite 300
Flint, MI 48502-1641
Phone (810) 406-4912

Other identifiers 1

IdentifierTypeStateIssuer
23-1886OtherMIMEDICARE PART A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030115000003 MI Part A Provider - Federally Qualified Health Center (FQHC) 1254249196 1 other NPI on this enrollment
Practice locations: Burton, MI

Federally qualified health center certification: CCN 231886

Legal name
HAMILTON COMMUNITY HEALTH NETWORK INC
Doing business as
GENESEE COUNTY HEALTH DEPT.-BURTON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 8, 2003
Last certification
Jan 8, 2003
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Apr 2, 1982 in MI
Enrollment address
G3375 S Saginaw
Burton, MI 48529-1244

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Community Health Network Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dana Manns Individual W-2 Managing EmployeeCfo Sep 23, 2022
Kathy Haskins Individual Corporate DirectorBoard Member Sep 26, 2018
Michael J Giacalone Individual Corporate OfficerCmo Jan 1, 2006
Christine Gleason Individual Corporate DirectorBoard Member Oct 1, 2011
Clarence R. Pierce Individual Corporate OfficerCeo May 30, 2006
W-2 Managing EmployeeCeo May 30, 2006
David Bloom Individual Corporate DirectorBoard Member Jan 16, 2006
Archie Leflore Individual Corporate Director Jan 15, 2003
Nancy Rich Individual Corporate DirectorBoard Member Nov 1, 2003
Linda L. McIntire Individual Corporate DirectorBoard Member Sep 26, 2018
Lawrence Reynolds Individual Corporate DirectorBoard Member Jan 16, 2016
Ronald Stamps Individual Corporate DirectorBoard Member Dec 1, 2008
Gloria Quinney Individual Corporate Director Jan 15, 2003
Henry Hatter Individual Corporate OfficerBoard Member Aug 1, 2000
George Wilkinson Individual Corporate DirectorBoard Member Jan 16, 2016

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hamilton Community Health Network IncFlint, MI, CCN 231167 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1983
Hamilton Community Health Network, Inc.Whitmore Lake, MI, CCN C71025 Federally qualified health center Operational/Managerial Control Apr 1, 2024
Hamilton Community Health Network IncBurton, MI, CCN C71046 Federally qualified health center Operational/Managerial Control Aug 10, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1720152275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST",
            "address_2": "SUITE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4912",
            "fax_number": "810-424-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3375 S SAGINAW ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485291244",
            "telephone_number": "810-743-6830",
            "fax_number": "810-743-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COMMUNITY HEALTH NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "deactivation_date": "2008-04-30",
        "reactivation_date": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-406-4912",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "23-1886",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.